Individual
CHIVON BRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
113 BAINBRIDGE ST, BROOKLYN, NY 11233-1701
(718) 671-2100
Mailing address
113 BAINBRIDGE ST, BROOKLYN, NY 11233-1701
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
647262
NY
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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